So woadi boro mfe 35? Sɛ woredwene sɛ wobɛyɛ ɛna a, hu saa nneɛma yi! (Ɛnanom Mfe a Wɔakɔ Anim) .

Nnipa pii susuw ho nnansa yi sɛ wobefi abusua ase na wɔawo akokoaa bere a wɔanyinyin kakra nkutoo, ɛnte saa? Ebia woyɛ wɔn mu biako. Titiriw sɛ woadi boro mfe 35 na wowɔ anidaso sɛ wobɛyɛ ɛna a, saa asɛm yi bɛyɛ nea ɛho hia wo kɛse. Efisɛ ɛsɛ sɛ yɛhwɛ yiye kakra wɔ nneɛma bi a ɛba bere a nyinsɛn ba wɔ saa mfe yi mu no ho. Nanso mma ɛnhaw wo, yɛbɛka ne nyinaa ho asɛm tiawa.

Dɛn ne Ɛna Mfe a Ɛkɔ Anim (ɛbɛyɛ ɛna bere a wadi mfe 35 akyi)?

Sɛ yɛbɛka no tiawa a, "ɛna mfe a akɔ anim" yɛ aduruyɛ mu asɛmfua a wɔde kyerɛ bere a woadi mfe 35 anaa nea ɛboro saa na woanyinsɛn. Kan no na wɔfrɛ no "geriatric pregnancy," nanso wɔmfa saa asɛmfua no nni dwuma bio efisɛ wobu no sɛ ɛyɛ asɛmfua ma nnipa a wɔn mfe akɔ anim. Mprempren wɔtaa de asɛmfua "ɛna mfe a akɔ anim" di dwuma kɛse.

Fa no sɛ ɛte sɛ nkyerɛwde bi a nnuruyɛfo de ka kyerɛ wo sɛ "ɛsɛ sɛ wohwɛ yiye kakra." Nea enti a ɛte saa ne sɛ, asiane a ɛwɔ hɔ sɛ wubenya nsɛnnennen no yɛ kɛse kakra bere a wunyinsɛn bere a woadi mfe 35. Nanso ɛno nkyerɛ sɛ akyinnye biara nni ho sɛ wubenya ɔhaw bi. Ɛnanom pii wo nkokoaa a wɔwɔ apɔwmuden bere a wɔadi mfe 35. Ade a ɛho hia sen biara ne sɛ wobɛkɔ wo nhwehwɛmu a wɔyɛ ansa na woawo no daa na woayɛ nhwehwɛmu no yiye. Afei, sɛ ɔhaw bi wɔ hɔ a, wobetumi ahu na wɔasa no ntɛm.

Asiane bɛn na ɛwɔ akokoaa a wobɛwo bere a wadi mfe 35 akyi?

Sɛnea madi kan aka no, mmea dodow no ara wo nkokoaa a wɔwɔ apɔwmuden a ɔhaw biara nni ho bere a wɔadi mfe 35. Nanso, nsɛnnennen ne akwahosan tebea horow bi wɔ hɔ a ɛkɔ soro kakra. Momma yɛnhwɛ nea wɔyɛ:

• Mogya mmoroso: Ebia wo mogya mmoroso bɛkɔ soro bere a wonyinsɛn no.
• Preeclampsia: Eyi yɛ tebea a emu yɛ den a mogya mmoroso kɔ soro mpofirim bere a wɔyem no na ebetumi aka akwaa afoforo te sɛ asaabo.
• Nyinsɛn mu asikreyare: Asikreyare a ɛba bere a wonyinsɛn nkutoo, sɛ mpo na wunnyaa asikreyare kan a.
• Nyinsɛn pii: Hokwan kɛse wɔ hɔ sɛ wobɛwo mmanoma anaa mma mmiɛnsa sen sɛ wobenya akokoaa biako pɛ.
• Awo a ɛba ntɛm anaasɛ awo mu duru a ɛba fam: Ebia wɔbɛwo akokoaa no adapɛn bi ansa na da a ɛsɛ sɛ wɔwo no adu anaasɛ ebia ne mu duru sua.
• Akokoaa kɛse: Ɛtɔ mmere bi a akokoaa no mu duru betumi ayɛ kɛse asen sɛnea wɔkyekyem pɛpɛɛpɛ.
• Abofra a ɔwɔ Down syndrome anaa awosu mu nyarewa afoforo a wobɛwo: Ɛda adi kakra sɛ akokoaa no benya awosu mu tebea horow bi.
• Nyinsɛn a wotu anaa awo a wawu: Asiane a ɛwɔ hɔ sɛ nyinsɛn bɛtu anaa awo a wawu no sua anaasɛ ɛdɔɔso.
• C-section awo: Asiane a ɛwɔ hɔ sɛ wɔbɛwo akokoaa denam C-section so no dɔɔso sen awo a ɛfata.

Kae sɛ eyinom yɛ asiane ahorow ara kwa . W’akwahosan nyinaa, ɔhwɛ a wonya ansa na woawo, ne w’asetra kwan ne nneɛma a ɛkyerɛ sɛnea wo nyinsɛn no bɛkɔ ankasa.

Dɛn nti na nsɛnnennen no kɔ soro bere a wunyinsɛn bere a woadi mfe 35 akyi no?

Nneɛma atitiriw abien nti na ɛte saa.

1. Wo nkesua no su: Susuw ho hwɛ, sɛ yɛyɛ mmofra a, yɛn nkesua no yɛ ‘fresh’ paa na ɛwɔ apɔwmuden. Nanso bere a obi nyin no, te sɛ biribiara a yɛde di dwuma no, saa nkesua yi su nso fi ase so tew kakra. Eyi ne nea yɛfrɛ no ‘nkesua su a ɛrekɔ fam’ . Afei, ɛtɔ mmere bi a nkokoaa a wɔwo wɔn fi nkesua ‘akyɛ’ a ɛtete saa mu no, ɛda adi kakra sɛ wobenya nkwaadɔm mu nneɛma a ɛnteɛ , sɛ nhwɛso no, Down syndrome. Wɔnam nhwehwɛmu a wɔyɛ ansa na wɔawo wɔn wɔ ɔsram abiɛsa a edi kan no mu so hu saa nkwaboaa mu nneɛma a ɛnteɛ yi pii.

2. Ayaresa mu tebea horow a enni sabea: Afei nso, bere a yɛrenyin no, ɛda adi sɛ yebenya ayaresa mu tebea horow a enni sabea te sɛ asikreyare ne mogya mmoroso. Saa tebea horow yi betumi aka nyinsɛn. Sɛ nhwɛso no, ɛda adi sɛ ɔbea a wadi mfe 38 benya mogya mmoroso sen ɔbea a wadi mfe 28, sɛ onnyinsɛn mpo a. Saa tebea horow a enni sabea yi betumi aka nyinsɛn ne awo.

Wɔtaa hu saa nsɛnnennen yi bere a wɔadi mfe 40 akyi.

Sɔhwɛ bɛn na wɔkamfo kyerɛ sɛ wɔnyɛ mma ɛnanom mfe a akɔ anim?

Nnuruyɛfo taa kamfo kyerɛ sɛ wɔnyɛ awosu mu nhwehwɛmu ansa na wɔawo mma mmea a wonyinsɛn bere a wɔadi mfe 35. Saa nhwehwɛmu ahorow yi betumi aboa ma wɔahu sɛ ebia asiane kɛse wom sɛ akokoaa no benya awosu anaa nkwaadɔm mu tebea horow bi a ɛwɔ hɔ bere a wɔawo no anaa.

Nhwehwɛmu dodow no ara de mogya, ultrasound scan, anaa n’abien nyinaa na edi dwuma. Mogya mu nhwehwɛmu hwɛ nneɛma bi a ɛwɔ wo mogya mu hwɛ sɛ wowɔ awosu mu yare bi anaa. Ultrasound scan hwɛ susuw ahorow te sɛ nuchal translucency . Wɔyɛ eyi de hwɛ sɛ ebia Down syndrome anaa nkwaboaa mu tebea afoforo bi wɔ hɔ anaa.

Nea ɛho hia ne sɛ eyinom yɛ nhwehwɛmu a wɔde hwehwɛ nneɛma mu nkutoo . Ɛne sɛ, wɔhwehwɛ *nea ebetumi aba* sɛ wobenya awosu mu tebea bi nkutoo.

Sɛ nhwehwɛmu a wɔde hwehwɛ nneɛma mu yi kyerɛ sɛ biribi a ɛnteɛ a, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu pɔtee bi a ɛbɛma wɔahu . Eyinom bi ne:

• Chorionic villus sampling (CVS): Wɔ sɔhwɛ yi mu no, oduruyɛfo no fa nkwammoaa ketewaa bi fi awotwaa no mu . Mpɛn pii no, akokoaa no awosu mu nsɛm na ɛwɔ saa nkwammoaa yi mu.
• Amniocentesis: Wɔ sɔhwɛ yi mu no, oduruyɛfo no de ade bi fa wo yafunu mu na oyi nsu a ɛwɔ wo yafunu mu no bi (amniotic fluid) . Wobetumi de saa nsu yi nso ahu awosu mu tebea horow bi.

Bio nso, ebia nnuruyɛfo bɛkamfo akyerɛ sɛ ɛnanom a wɔyem a wɔadi boro mfe 35 no nkɔyɛ ultrasound scan daa, wɔnyɛ wɔn nhwehwɛmu ntɛm sɛ ebia wɔwɔ nyinsɛn mu asikreyare anaa, anaasɛ wɔnhwɛ wɔn daa sɛ ebia wɔanya preeclampsia anaa.

Ɔkwan bɛn so na wɔbɛsa nyinsɛn bere a wɔadi mfe 35 akyi?

Mpɛn pii no, nnuruyɛfo mfa wo nni dwuma wɔ ɔkwan soronko so esiane mfe a woadi nti. Nanso, sɛ awosu mu nhwehwɛmu kyerɛ sɛ ebia wo ba no wɔ yare bi a wofi awo mu, anaasɛ wunya tebea bi te sɛ nyinsɛn mu asikreyare a, wo duruyɛfo no bɛyɛ nneɛma bi de abɔ wo ho ban. Ebia wɔde wo bɛkɔ ɛna ne awotwaa mu aduruyɛ ho ɔbenfo nkyɛn . Anaasɛ, ebia ebehia sɛ wokɔ wo awo ho oduruyɛfo nkyɛn daa kɔhwɛ sɛnea wo ba no nyin na ne yiyedi te.

Esiane nkɔso a aba wɔ nnuruyɛ ne mfiridwuma mu nti, nyinsɛn pii a ɛba bere a wɔadi mfe 35 akyi no wɔ apɔwmuden na ɛma wonya nkokoaa a wɔwɔ apɔwmuden.

So metumi atew asiane a ɛwɔ hɔ sɛ nyinsɛn mu nsɛnnennen no so sɛ madi boro mfe 35 a?

Yiw, koraa! Sɛ woadi boro mfe 35 na woanyinsɛn (anaasɛ woreyɛ nhyehyɛe sɛ wubenyinsɛn) a, nneɛma kakraa bi wɔ hɔ a wubetumi ayɛ mprempren de atew asiane a ɛwɔ hɔ sɛ wubenya nyinsɛn mu nsɛnnennen no so:

• Hwɛ hu sɛ wɔbɛyɛ wo yare a wɔde siw ano nyinaa , te sɛ nnuru a wɔde bɔ wo ho ban, wɔ bere ano.
• Sɛ wowɔ aduruyɛ mu tebea afoforo a ɛwɔ hɔ dedaw a , di so yiye.
• Fa vitamin bi a wɔde di dwuma ansa na woawo no daa.
• Anyɛ yiye koraa no, yɛ apɔw-mu-teɛteɛ simma 30 dapɛn no mu nna dodow no ara.
• Sɛ wonom sigaret ne/anaasɛ wode tawa nneɛma di dwuma a, gyae.
• Gyae nsa nom koraa.
• Di aduan a ahoɔden wom a nnuaba, nhabannuru, nam a ɛnyɛ den, ne aburow a wɔayam pii wom.
• Bɔ mmɔden sɛ wobɛtra mu duru a ɛfata mu bere a wonyinsɛn no.

Hokwan ahorow bɛn na ɛwɔ hɔ sɛ nyinsɛn betu bere a wadi mfe 35 akyi?

Ebia eyi bɛyɛ te sɛ nea ɛyɛ hu kakra, nanso hokwan a ɛwɔ hɔ sɛ wobɛwo akokoaa a ɔwɔ apɔwmuden no dɔɔso koraa sen hokwan a ɛwɔ hɔ sɛ nyinsɛn bɛtu no. Nanso, asiane a ɛwɔ hɔ sɛ nyinsɛn bɛtu no kɔ soro kakra bere a obi nyin no:

• Mfeɛ 20 kɔsi 30 ntam: 9% kɔsi 17% hokwan (ɛno bɛyɛ 9 kɔsi 17 wɔ nnipa 100 mu) .
• Wɔ mfe 35 mu: 20% hokwan (ɛno yɛ nnipa 5 biara mu 1) .
• Wɔ mfe 40 mu: 40% hokwan (ɛno yɛ nnipa 10 biara mu 4) .
• Wɔ mfe 45 mu: 80% hokwan (ɛno yɛ nnipa 10 biara mu 8) .

Afotu a eye sen biara wɔ eyi ho fi wo awo ne mmea ho oduruyɛfo hɔ. Ka asiane ahorow yi ho asɛm kyerɛ no.

So mfaso bi wɔ so sɛ wobɛwo akokoaa bere a wadi mfe 35 akyi?

Aane saa ara! Abusua a wubefi ase no yɛ ankorankoro gyinaesi ankasa. Nnipa pii si gyinae sɛ wɔbɛwo mma akyiri yi. Mfaso biako a ɛwɔ saa a wɔyɛ so ne sɛ wonya asetra mu osuahu pii ne sikasɛm mu ahotɔ. Nnipa pii nso reware akyiri sen kan no. Ne saa nti, wɔretwentwɛn abusua a wobefi ase, anaasɛ wɔretrɛw mu mpo. Wɔ ɔman te sɛ United States mu no, mprempren mmea bɛyɛ 20% wɔ wɔn ba a odi kan wɔ mfe 35 akyi.

Mfe dodow ahe na ɔbea betumi anyinsɛn wɔ awosu mu?

Mfe pɔtee biara nni hɔ a wɔde bɛyɛ eyi. Ɛnyɛ mfe a woadi nko na nyinsɛn a ɛfata gyina wo so, na mmom egyina w’akwahosan nyinaa so nso .

Nanso, abenfo nim sɛ hokwan a wowɔ sɛ wubenyinsɛn no so tew bere a obi nyin no. Sɛ nhwɛso no, bere a wubedi mfe 40 no, hokwan a wowɔ sɛ wubenyinsɛn wɔ awosu mu no bɛyɛ 10% wɔ brayɛ mu. Nanso sɛ woadi mfeɛ aduasa a, saa hokwan no bɛyɛ 25%.

Ade a ɛho hia sen biara a ɛsɛ sɛ yɛkae! (Nkrasɛm a Wɔde Kɔ Fie)

Nyinsɛn dodow no ara a ɛba bere a wɔadi mfe 35 akyi no yɛ nea ahoɔden wom na edi yiye. Nanso, eye sɛ wubehu nsɛnnennen a ebetumi aba bere a wɔawo ɛna akyiri no. Wo ne wo duruyɛfo nkasa mfa awosu mu nhwehwɛmu a ɔkamfo kyerɛ ne nea wubetumi ayɛ na ama woanya apɔwmuden ho asɛm.

Mpɛn pii no, mfe a obi adi yɛ dodow bi kɛkɛ bere a ɛfa nyinsɛn ho no. Sɛ wowɔ akwahosan pa, wohwɛ w’ayaresa tebea horow so, na wutie wo duruyɛfo a, ɛda adi kɛse sɛ wobɛwo akokoaa a ɔwɔ apɔwmuden. Enti, mma ɛnhaw wo, na nya akwantu yi mu anigye.

` Nyinsɛn a ne mfe akɔ anim, nyinsɛn mu asiane, awosu mu nhwehwɛmu, nyinsɛn a ɛte apɔw, hwɛ a wɔhwɛ ansa na wɔawo, awo, nyinsɛn a wotu gu